Tratamiento actualizado de la nefropatía diabética

Abstract

diabetes is a pathology that has a great impact on the quality of life of people, in Ecuador it is the fourth cause of death with 7,900 deaths. The most common complication is diabetic nephropathy since it is diagnosed late, the diagnosis will be based on the use of an equation that will determine renal function and according to this treatment will be implemented. Objective: To analyze high-impact articles from the last 5 years on the diagnosis and management of diabetic nephropathy for the resolution of the clinical case raised. Materials and methods: this is a retrospective descriptive study that was carried out through the search for information through search engines such as PUBMED, SCIELO, SCIMAGO for the extraction and compilation of information concerniente to diabetic nephropathy. Results: 15 scientific articles were compiled in which the definition, risk factors, stratification of kidney disease, methods of diagnosis and treatment are described. Conclusion: diabetic nephropathy is a pathology that is diagnosed late, so it is important to determine GFR and thus stratify kidney disease, according to the stage and risk factors may be implemented drugs with ACE inhibitors or ARBs II to control BP and drugs such as metformin or SGLT2 for glycemic control that also contribute as neuroprotectants, or depending on the clinical status of the patient implement or restrict the use of medications and in the same way know when the patient should be referred to a specialist